ZBHA Membership Forms

Certified Membership

Certified Membership — $150/year

For graduates of the Certification Program and active practitioners of Zero Balancing
Be connected, informed, and engaged as you work to bring the gifts of Zero Balancing to more people. Membership includes a full-page practitioner listing on this website.

Member Information

I am (please check one):
 Renewing my current membership  Rejoining after a lapse in membership
First Name:
Last Name:
Business Name:
Main Office Name:
Address 1:
Address 2:
State or Province:
Zip Code:
Phone 1:         Home   Office   Mobile
Phone 2:         Home   Office   Mobile
Email Address:
Website Address:

Payment Information

Yearly Dues: $150

(note: clicking submit below will link to PayPal for payment processing. PayPal account is not required. You may choose a credit card.)
I would like to make an additional contribution to support the Zero Balancing Health Association.
Amount of donation: $
Payment options (please check one):
 I will pay online by credit card through PayPal payment processing (NOTE: Clicking submit below will link to paypal for payment processing only; paypal account is not required.)
 I will pay by phone
 I will send a check: Payable to: ZBHA
Zero Balancing Health Association
8640 Guilford Rd., Suite 224
Columbia, MD 21046

Other Information

I receive the ZBHA e-newsletter.
I would like to coordinate a local ZB study group.


Please include my name and email address on the Zero Balancing mailing list. We respect your privacy.
Please click the "Submit" button once. Thank you.

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